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Exclusion Periods PDF Print E-mail
Written by Administrator   
Wednesday, 01 March 2006

Minimum Exclusion Periods for Infectious Diseases from Schools, Preschools and Child Care Centres

(based on National Health & Medical Research Guidelines)

Note:  The NHMRC recommends that children who are physically unwell should stay home from school, pre-school and child care centres

ConditionExclusion of CasesExclusion of Contacts
  • Amoebiasis (Entamoeba histolytica)

Exclude until diarrhoea ceases.

Not excluded.

  • Campylobacter

Exclude until diarrhoea has ceased.

Not excluded.

  • Chicken Pox (including shingles, which is caused by the same virus.

Exclude until fully recovered or for at least five days after the eruption first appears.  Note that some remaining scabs are not a reason for continued exclusion.

Any child with an immune deficiency (for example, leukaemia) or receiving chemotherapy should be excluded for his or her own protection.  Otherwise not excluded.

  • Conjunctivitis

Excluded until discharge from eye(s) has ceased.

Not excluded

  • Cytomegalovirus Infection

Exclusion not necessary

Not excluded

  • Diarrhoea

Exclude until diarrhoea has ceased.

Not excluded

  • Diphtherea

Exclude until medical certificate of recovery is received following at least two negative throat swabs, the first not less than 24 hours after finishing a course of antibiotics and the other 48 hours later.

Exclude family/household contacts until cleared to return by an appropriate health authority.

  • Glandular Fever (mononucleosis)

Exclusion is not necessary

Not excluded.

  • Hand Foot and Mouth Disease

Exclude until blisters have dried

Not excluded

  • Haemophilus Influenza - Type B (Hib)

Exclude until medical certificate of recovery is received.

Not excluded

  • Hepatitis A

Exclude until a medical certificate of recovery is received, but not before seven days after the onset of jaundice or illness.

Not excluded

  • Hepatitis B

Exclusion is not necessary.

Not excluded

  • Hepatitis C

Exclusion is not necessary.

Not excluded

  • Headlice

Exclude until day after proper treatment has started.

Not excluded

  • Herpes (Cold Sores)

Young children unable to comply with good hygiene practices should be excluded while the lesion is weeping.  Lesions to be covered by dressing, where possible.

Not excluded

  • Hookworm

Exclusion not necessary.

Not excluded

  • Human immunodeficiency virus infection (HIV/AIDS virus)

Exclusion is not necessary unless the child has a secondary infection, which requires exclusion in its own right.

Not excluded

  • Impetigo (school sores)

Exclude until appropriate treatment has commenced.  Sores on exposed surfaces must be covered with a watertight dressing.

Not excluded

  • Influenza and influenza like illnesses

Exclude until well

Not excluded

  • Leprosy

Exclude until approval to return has been given by an appropriate health authority.

Not excluded.

  • Meningitis (bacterial)

Exclude until well.

Not excluded.

  • Meningococcal Infection

Exclude until adequate carrier eradication therapy has been completed.

Not excluded if receiving rifampicin.

  • Measles

Exclude for at least four days after onset of rash.

Immunised contacts not excluded.  Unimmunised contacts should be excluded until 14 days after the first day of appearance of rash in the last case.  If unimmunised contacts are vaccinated within 72 hours of their first contact with the first case they  may return to school.

  • Molluscum contagiosum

Exclusion not necessary.

Not excluded.

  • Mumps

Exclude for nine days or until swelling goes down (whichever is sooner).

Not excluded.

  • Parvovirus (erythema infectiousum fifth disease)

Exclusion not necessary.

Not excluded.

  • Poliomyelitis

Exclude for at least 14 days from onset.  Readmit after receiving medical certificate of recovery.

Not excluded.

  • Ringworm, scabies, pediculosis (lice), trachoma

Re-admit the day after appropriate treatment has commenced.

Not excluded.

  • Rubella (German measles)

Exclude until fully recovered or for at least four days after the onset of rash.

Not excluded.

  • Salmonella, Shigella

Exclude until diarrhoea ceases.

Not excluded.

  • Streptococcal infection (including scarlet fever)

Exclude until the child has received antibiotic treatment for at least 24 hours and the person feels well.

Not excluded.

  • Tuberculosis

Exclude until a medical certificate from an appropriate health authority is received.

Not excluded.

  • Typhoid fever (including paratyphoid fever)

Exclude until approval to return has been given by an appropriate health authority.

Not excluded unless considered necessary by public health authorities.

  • Whooping Cough

Exclude the child for five days after starting antibiotic treatment.

Exclude unimmunised household contacts aged less than 7 years for 14 days after  the last exposure to infection or until they have taken five days of a 14-day course of antibiotics.  (Exclude close child care contacts until they have commenced antibiotics).

  • Worms (intestinal)

Exclude if diarrhoea present.

Not excluded.

Note For full details, please refer to the NHMRC's publication "Staying Health in Child Care" available from the Australian Government Publishing Service or phone 132 447.

Cases of Amoebiasis, Leprosy, Poliomyelitis, or Tuberculosis should be discussed with your nearest Public Health Unit.

 
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